Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.68 / $168.68 / $168.68	Facility		$168.68	$168.68	$168.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.19 / $166.91 / $187.25	Professional		$145.19	$166.91	$187.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $1,500.00	Professional		$60.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.11 / $157.29 / $183.38	Facility		$126.11	$157.29	$183.38